WQ0009826_11-2020(2)_20201130

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Mail original
and 1 copy to:
FACILITY INFORMATION
Facility Name: Wayne Farms LLC
Please Print Clearly or Type
Permit Name (if different):
Facility Address: 10901 Hwy 268
Elkin
NC
28621
Contact Person: Jeremy Bowlin
Well Location/Site Name: Spray field
County Surry
Telephone#: [phone]
No. of wells to be sampled: 1
(from Permit)
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
PERMIT Number:
Non -Discharge WQ0009826
NPDES
Expiration Date: 4/30/2024
UIC
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit):
Well Depth: 44 ft.
Depth to Water Level 82546: 24.5 ft. below measuring point
MW5
Measuring Point is 4 ft. above land surface
Volume of water pumped/bailed before sampling: 3.75
Samples for metals were collected unfiltered: • YES
Date sample collected: 11/20/2020
Well Diameter: 2 in.
Screened Interval: 29
Relative M.P. Elevation:
gallons
ft.
to 44
FIELD ANALYSES:
pH 00400: 5.99 units
ft. Spec. Cond. 00094:
Temp. 00010: 12.9 °C
ft. Odor 00085: none
❑ NO and field acidified: ❑■ YES ❑ NO
Appearance
µMhos
First bail clear following turbid
If WELL
WAS
DRY at
time of
sampling,
check
here.
LABORATORY INFORMATION
Date sample analyzed: 11/20/2020
PARAMETERS NOTE: Values should reflect dissolved
COD 00335 mg/L
Coliform: MF Fecal 31616 59 /100mL
Coliform: MF Total 31504
(Note: Use MPN method for highly turbid samples)
Dissolved Solids:Total 70300 112
pH (Lab) 00403
TOC 00680 <1.0
Chloride 00940 8.5
Arsenic 01002
Grease and Oils 00552
Phenol 32730
Sulfate 00945
Specific Conductance 00095
Total Ammonia 00610 <.1
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
TKN as N 00625
/100mL
mg/L
units
mg/L
mg/L
ug/L
mg/L
ug/L
mg/L
µMhos
mg/L
mg/L
Laboratory Name: Meritec
and colloidal concentrations.
Nitrite (NO2) as N 00615
Nitrate (NO3) as N 00620 9.00
Phosphorus: Total as P 00665 .893
Orthophosphate 70507
Al - Aluminum 01105
Ba - Barium 01007
Ca - Calcium 00916
Cd - Cadmium 01027
Chromium: Total 01034
Cu - Copper 01042
Fe - Iron 01045
Hg - Mercury 71900
K - Potassium 00937
Mg - Magnesium 00927
Mn - Manganese 01055
Ni - Nickel 01067
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Pb - Lead 01051
Zn - Zinc 01092
Certification No. 165
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 , method #
, method #
, method #
, method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Matthew Wooten Complex Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 06-07-2018
Signature of Permittee (or Authorized Agent)
(Date)